Substitute Teacher Feedback Report (Page 4 of 5) in pdf

Effective Interventions for Academic Problems

Jim Wright

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Substitute Teacher Feedback Report

Date:________________________

From: ______________________, Classroom Teacher, ________________________

Dear Substitute Teacher:

Hi! I want to make sure that you had a good experience today while covering my classroom.

Please take a moment to complete this sheet. If something did not go well or students

misbehaved, I will use your feedback to correct the situation in the future. Thank you!

1. What overall information, if any, would you like to share about how the day went?

___________________________________________________________________________

2. [Optional] What are the names of students in the class today who:

• were especially helpful and well-behaved?

• presented behavior/discipline problems?

___________________________________

• Do you feel that the class as a whole behaved well enough to deserve a reward? ___Y ___N

3. What would you recommend that I or other staff in the school do in the future to make your

substitute teaching experience a smoother and more rewarding one?

___________________________________________________________________________

4. [Optional] Please include your name and mailing address, phone number or email if you would

like me to contact you to talk further about your experience in my classroom today:

Your Name: _______________________ Ph: _______________ Email: _________________

US Mail Address: _____________________________________________________________

Substitute Teacher Feedback Report Page 4